Psychological Distress in Women Who Have Experienced Intrauterine Insemination

人工授精治療婦女之心理困擾

林嘉玲(Jia-Ling Lin) ； 林雅慧(Ya-Hui Lin) ； 闕可欣(Ke-Hsin Chueh)

《The Journal of Nursing Research》 20卷4期 (2012/12) Pp. 310-315

https://doi.org/10.1097/JNR.0b013e3182748f26

摘要

背景　雖然過去實證研究結果已知，心理困擾會以不可預期與不典型的方式呈現其症狀，但卻少有研究著重在探討這些症狀在人工授精治療婦女之呈現。目的　本研究目的為了解台灣接受人工授精治療婦女的心理困擾比率，並分析這群婦女的人口學特性、人工授精治療身體症狀對其心理困擾之影響。方法　本研究採橫斷式研究設計，以北部某教學醫院117位接受人工授精治療婦女為樣本，採簡式健康量表做為評估心理困擾的工具，以量表總得分大於5為具輕度以上心理困擾者。並以人口學特性、人工授精治療之身體症狀分析影響心理困擾之重要因素。結果　發現32.5％的人工授精治療婦女達到輕度以上心理困擾程度。這些婦女若其配偶為家中獨子、過去一週曾使用藥物、學歷為大學以下、及有頭暈症狀，都是心理困擾症狀之高危險群。結論／實務應用　本研究結果可瞭解人工授精治療婦女心理困擾之重要影響因素，並可提供實證研究結果做為未來心理健康與婦女健康治療研究參考。

關鍵字

婦女 ； 心理困擾 ； 人工授精

並列摘要

Background: Despite evidence that psychological distress manifests itself in underreported and atypical ways, few studies have assessed these symptoms in women who have experienced intrauterine insemination (IUI).Purpose: The aim of this study was to examine the prevalence of psychological distress and explore the relationships among psychological distress, various demographic characteristics, and somatic symptoms in women who had received IUI treatment in Taiwan.Methods: A cross-sectional study design was used in this study. The 117 participants were recruited from a teaching hospital in northern Taiwan. The brief symptom rating scale (BSRS-5) was used as the measurement instrument, and scores of more than 5 on the BSRS-5 were used to mark the boundary between milder and more severe psychological distress. Demographic characteristics and somatic symptoms of IUI that contributed most significantly to psychological distress were identified from the data.Results: Thirty-eight (32.5%) participants experienced psychological distress. Psychological distress was most common in participants (a) with husbands who were an only son, (b) who had taken medication during the previous week, (c) with an education level below college or university, and (d) who reported feeling faint.Conclusions/Implications for Practice: The factors studied are important to understand psychological distress in women who have undergone IUI treatment.

並列關鍵字

women ； psychological distress ； intrauterine insemination

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